Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › REDFORD › SUNRISE FAMILY DENTAL CARE

SUNRISE FAMILY DENTAL CARE

NPI: 1689739690 · REDFORD, MI 48240 · General Practice Dentistry · NPI assigned 12/27/2006

$54K
Total Medicaid Paid
1,816
Total Claims
1,807
Beneficiaries
7
Codes Billed
2019-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, STEVEN (OWNER DENTIST)
NPI Enumeration Date12/27/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, STEVEN

ProviderCityStateTotal Paid
HEALTHY SMILES DENTAL CARE OF LANSING LANSING MI $2.88M
HEALTHY SMILES DENTAL CARE OF MUSKEGON, PLLC NORTON SHORES MI $529K
HEALTHY SMILES DENTAL CARE OF FLINT, PLLC FLINT MI $269K
ADVANCED DENTAL GROUPSERVICES, PLLC CHELSEA MI $202K
JEWELL LAKE DENTAL LLC BARTON CITY MI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 321 $10K
2020 403 $14K
2021 483 $13K
2022 330 $9K
2023 194 $6K
2024 85 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 481 480 $18K
D0120 Periodic oral evaluation - established patient 665 664 $18K
D1208 Topical application of fluoride, excluding varnish 599 598 $14K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 19 13 $2K
D1110 Prophylaxis - adult 27 27 $1K
D0274 Bitewings - four radiographic images 12 12 $444.00
D0601 13 13 $0.00